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- Bojner Horwitz, Eva, et al.
(författare)
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Dance/movement therapy in fibromyalgia patients : Changes in self-figure drawings and their relation to verbal self-rating scales
- 2006
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Ingår i: The arts in psychotherapy. - : Elsevier BV. - 0197-4556 .- 1873-5878. ; 33:1, s. 11-25
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Tidskriftsartikel (refereegranskat)abstract
- This study evaluates if verbally oriented scales are as effective as the visual instruments of self-figure drawing and video interpretation in detecting treatment responses after 6 months of dance/movement therapy in fibromyalgia patients.The self-figure drawing and video interpretation technique captured treatment effects that were not seen on verbal scales. In the self-figure drawings, significant differences were seen in the variables “amount of body details” and “amount of paper use in percent” between the treatment group and controls after dance/movement therapy. The treatment group showed a significant increase in the “amount of body details” and “amount of paper use in percent” compared to controls. Specific parts of the verbally oriented ratings in CPRS, “bodily discomfort” and “compulsive act,” were positively correlated to “number of different colours.” The variable “pain and ache” in the CPRS indicated a negative correlation to the “amount of paper use in percent,” i.e. the more pain, the less paper used.The use of different assessment techniques may affect the treatment outcome and verbal instrumentation may not be the most appropriate in this patient group. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors that are discussed.
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| 4. |
- Hasson, Dan, 1974-
(författare)
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Stress Management Interventions and Predictors of Long-term Health : Prospectively Controlled Studies on Long-term Pain Patients and a Healthy Sample from IT- and Media Companies
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis reports on the effects of stress management on long-term pain patients and on a healthy sample from IT and media companies; two groups that are commonly exposed to high stress levels. Even if there are important differences between these two groups, there are similarities such as the necessity for effective stress management. Stress-related and musculoskeletal disorders are major public health issues in most industrialized countries and are expected to become increasingly common during the coming decades. The pathogenic plastic changes in the CNS and immune system caused by long-term stress pose severe burdens to individuals, organizations as well as society in general. Thus, stress management may be essential to maintain and improve long-term health and wellbeing and to proactively counteract stress-related ill-health.This thesis is based on four papers: Paper I assessed the effects of massage as compared to relaxation tapes in long-term pain patients. Paper II validated some of the Visual Analogue Scale questions that were to be used in paper III and IV. Paper III assessed the effects on mental and physical wellbeing and biological stress markers from a web-based stress management and health promotion tool. Paper IV aimed at mapping out predictors for trends (improvement vs. worsening) in self-rated health (SRH) over a period of one year.The overall results indicate that individually focused stress management interventions in long-term pain patients as well as on a healthy, working population may have short-term beneficial effects on psychological and physiological stress, health and wellbeing. On a long-term basis the beneficial changes seem to revert. In paper four, it is indicated that the stress management intervention is not a significant predictor of long-term changes in SRH. Rather, other factors such as health perception, sleep quality and sense of coherence predicted improvement in SRH over time.
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- Lundberg, Gunnar, et al.
(författare)
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Personality Features in Female Fibromyalgia Syndrome
- 2009
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Ingår i: JOURNAL OF MUSCULOSKELETAL PAIN. - : Informa UK Limited. - 1058-2452 .- 1540-7012. ; 17:2, s. 117-130
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Using the Temperament and Character Inventory [TCI], this study investigates whether differences in temperament and character exist in fibromyalgia syndrome [FMS] patients compared with healthy normal controls [HNC] of the community and whether there might be subgroups among FMS patients. Methods: This study asked 191 female patients with FMS and 652 age-matched female HNC of the community to answer the TCI questionnaire. Results: The FMS was associated with high harm avoidance, persistence, self-transcendence, and low self-directedness. Three subgroups of FMS were identified [cluster 1: N = 72; cluster 2: N = 83; and cluster 3: N = 30] based on all scales and subscales of TCI. Conclusions: Both aspects of TCI, temperament and character, are different and changed in FMS compared with HNC, mainly high harm avoidance, high persistence, low self-directedness, and high self-transcendence. The established personality patterns may affect the FMS patients ability to cope with stress and pain in daily-life situations. In future studies it is important to also incorporate pain intensity, depression and anxiety variables, and other personality instruments when interpreting the results.
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| 6. |
- Marteinsdottir, Ina, et al.
(författare)
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The role of life events in social phobia
- 2007
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 61:3, s. 207-212
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to investigate the relationship between life events and social phobia. An inventory assessing life events during childhood, adulthood as well as life events experienced in relation to the onset of the disorder was administrated to 30 subjects with a DSM-IV diagnosis of social phobia. They were recruited by announcement and diagnosed by the Structured Clinical Interview for DSM-IV for axes I and II disorders. Seventy-five controls were selected by matching age and gender from the local population register. Individuals with social phobia reported significantly more life events during childhood and more life events with negative impact during the social phobia debuting year. Conversely, they described fewer events in the adult life than the controls. Close relatives with disabling conditions in the childhood, conflicts with wife/husband/cohabitant and divorces or similar were significantly more common in the debuting year in social phobic group. In adult life, the healthy individuals described significantly more often increased authority at work. A gender-specific analysis revealed significantly more experiences of a death of a relative/close friend during the year before the social phobia debut and significantly more negative life events in the women's adult life. In summary, the present results support that life events have a role in social phobia that may be gender influenced.
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